Bridgman Psychological Services

Organization Active NPI Psychologist · Bridgman, MI

NPI 1497965040 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1497965040
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
Legal business name
BRIDGMAN PSYCHOLOGICAL SERVICES
Practice address
7889 Red Arrow Hwy
Bridgman, MI 49106
Phone
(269) 465-4000
Fax
(269) 465-4001
NPI assigned
May 23, 2007
Organization subpart
No

Authorized official

Name
Dyanne C Bresler, LLP
Title
President
Phone
(269) 465-4000

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bridgman Psychological Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
103T00000X MI Yes

Addresses

Primary practice location

7889 Red Arrow Hwy
Bridgman, MI 49106

Mailing address

7889 Red Arrow Hwy
Bridgman, MI 49106
Phone (269) 465-4000

Other providers in Bridgman, MI

All providers in Bridgman, MI · Psychologist in Michigan

Sources for this page

Verify at the official NPI Registry.